FY2026 Code Updates: What changed? What matters? What to do next?

<p>Join host <strong>Jan Milliman, HCS-D</strong> (Director, AHCC) with AHCC Advisory Board members <strong>Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C</strong> and <strong>Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C</strong> as we break down what’s new for <strong>FY2026</strong>—what changed, what matters, and how to apply it correctly in home health and beyond.</p><p>In this episode:</p><ul><li><p>Code transition implications for <strong>billing and documentation</strong></p></li><li><p>Specialty impacts (including <strong>hospice</strong>)</p></li><li><p>Tabular/Index updates and notable new concepts (e.g., <strong>E11.A T2DM in remission</strong>)</p></li><li><p>Obesity guidance (April 2025) + <strong>Coding Clinic Q1 2025</strong> notes</p></li><li><p>High-impact condition areas: <strong>hypercholesterolemia, multiple sclerosis, muscular dystrophy</strong></p></li><li><p><strong>Hypertensive heart disease</strong> changes + new guideline and examples</p></li><li><p>Wound and skin updates (<strong>L98.4</strong> and related ulcer coding)</p></li><li><p><strong>COPD</strong> + other chronic bronchitis clarifications</p></li><li><p>Anatomy/site updates (e.g., <strong>flank</strong>), <strong>pelvis</strong> reclassification to <strong>M80.0B</strong></p></li><li><p>Medication and risk concepts (<strong>fluoroquinolones</strong>, <strong>genetic susceptibility</strong>)</p></li><li><p>Real-world <strong>scenario spotlights</strong> and an <strong>AHCC</strong> product/member update</p></li></ul><p><strong>CHAPTERS</strong></p><p>1:29 Code Transition<br>2:15 What This Means for Billing<br>3:15 What About Hospice?<br>3:46 Inflammatory Breast Carcinoma<br>4:36 Tabular and Index Updates<br>5:29 <strong>E11.A</strong> – T2DM without complications <strong>in remission</strong><br>7:10 E11.A Guideline<br>7:29 Diabetes Mellitus with Venous Insufficiency<br>8:40 Obesity – new guideline (Apr 2025), Coding Clinic Q1 2025<br>9:32 Hypercholesterolemia<br>10:08 Multiple Sclerosis<br>12:12 Muscular Dystrophy<br>13:24 Big Changes to <strong>Hypertensive Heart Disease</strong><br>14:39 New Guideline – Hypertension with Heart Disease<br>16:16 HTN Examples<br>17:21 <strong>L98.4</strong> – Non-pressure chronic ulcer of skin, NEC<br>18:22 Related to Ulcer Codes<br>20:10 <strong>COPD</strong> with Other Chronic Bronchitis<br>21:16 <strong>Flank</strong> added as a new anatomic site<br>22:13 Pelvic parts moved to <strong>M80.0B Pelvis</strong><br>23:06 <strong>Fluoroquinolones</strong><br>24:05 <strong>Genetic Susceptibility</strong><br>25:47 Scenario Spotlight<br>26:06 August Scenario<br>27:52 August Scenario Answer<br>28:40 September Scenario<br>29:30 Product Spotlight: <strong>Home Health Pro</strong><br>30:00 What’s New with AHCC: Advisory Board Update; <strong>Member Survey</strong></p><p><strong>RESOURCES &amp; LINKS</strong></p><ul><li><p>CMS ICD-10-CM code files: <a href="https://www.cms.gov/medicare/coding-billing/icd-10-codes" target="_blank" rel="ugc noopener noreferrer">https://www.cms.gov/medicare/coding-billing/icd-10-codes</a></p></li><li><p>Learn more about <strong>Home Health Pro</strong>: decisionhealth.com/homehealthpro</p></li><li><p><strong>AHCC Member Survey</strong>: <a href="https://www.surveymonkey.com/r/7SKBX2J" target="_blank" rel="ugc noopener noreferrer">https://www.surveymonkey.com/r/7SKBX2J</a></p></li><li><p>Download the <strong>slides</strong> from this episode: <a href="https://ahcc.decisionhealth.com/ahcc-talk-episode-83-fy2026-coding-update/" target="_blank" rel="ugc noopener noreferrer">https://ahcc.decisionhealth.com/ahcc-talk-episode-83-fy2026-coding-update/</a></p></li></ul><p>Questions, topic requests, or guest suggestions? Email <strong>Jan Milliman</strong>: <a href="" target="_blank" rel="ugc noopener noreferrer">jan.milliman@decisionhealth.com</a></p><p><br>🎧 If you found this episode helpful, follow <strong>AHCC Talk</strong> and share it with your team!</p>